Physical therapy is the backbone of the physical rehabilitation at Paraplegic Center.The goal of physical therapy is to prevent secondary complications, maximization of functional independence and early mobility in persons with spinal cord injuries (SCIs). Physical Therapists assess, determine neurological level , set rehabilitation goals and focuses on motor skills, balance training and ambulation. In addition to the inpatient services, the rehab professionals thoroughly assess, prescribe treatments/rehab protocols and refer out patients with various disabilities, musculoskeletal, neuromuscular impairments/dysfunctions and neurological diseases, on daily basis other than spinal cord injuries, 100% free of cost.
Physical therapy services at Paraplegic Center can be divided into three phases:
Physical therapy is predominantly focus on preventing and treating respiratory, musculoskeletal and other secondary complications related to prolonged bed rest.In this phase Physical therapy services include chest/ respiratory therapy (Breathing exercises,percussion, vibration,postural drainage and spirometry etc.), range of motion exercises, stretching and strengthening exercises and gradual verticalization using tilting table, adjunct therapies for pain management is also frequently used which include manual therapy, hot/cold packs and electrical stimulation.
Physiotherapy during this phase commences as soon as the patient is medically stable and having no pressure sores. The overall aim this phase is to maximize functional independence and to enable the person with SCIs to return a productive life.Physical therapy during this phase mainly focuses on goals related to motor tasks which include bed mobility training (mat activities e.g. rolling prone on hands, supine on elbows,sitting in bed, vertical lift),standing in standing frame ,transfers training (e.g. transfers from wheelchair to bed floor,toilet seat, car & back etc.), gait training ,balance and coordination training.
The focus of this phase is on prescription of assistive and supportive devices where physical therapists assess, prescribe various types of assistive devices including customized wheelchair and provide skilled trainings like wheelchair manoeuvrability on smooth and rough surfaces, negotiating doors, ramps, curbs and wheelie etc., training in orthotic devices (i.e. fist fitting, donning and doffing , function use and final check outs etc.) and walking frames,crutches, canes standing frames and use of toilet chairs etc. Clients and their care givers are also educated about maintenance and repair of assistive devices.